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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304311924
Report Date: 08/31/2021
Date Signed: 08/31/2021 01:25:21 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/25/2021 and conducted by Evaluator Eileen Corral
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20210625160941
FACILITY NAME:OJEDA, ANTONIAFACILITY NUMBER:
304311924
ADMINISTRATOR:OJEDA, ANTONIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(949) 770-2217
CITY:LAKE FORESTSTATE: CAZIP CODE:
92630
CAPACITY:14CENSUS: 9DATE:
08/31/2021
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Licensee - Antonia OjedaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Physical Abuse
Personal Rights
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Corral conducted a complaint investigation with Licensee Antonia Ojeda in response to a complaint received on 06/25/2021 regarding a Child being physically abused in care and a child’s personal rights being violated. This is a continuation of the investigation initiated by LPA Odom on 06/29/2021. This visit was conducted to deliver findings on the complaint investigation. LPA Corral reviewed the COVID-19 Emergency Response questionnaire and questions were answered by Licensee. Due to COVID 19 guidelines, LPA observed staff wearing face mask, social distancing and following CDC and Dept of Public Health Guidelines. A review of the Facility Personnel Report Summary conducted on 08/31/2021 indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the inspection LPA Corral conducted a walk-through of the Facility. LPA Corral observed 3 infants and 6 pre-school children present in care with Licensee and Assistant Lluvia Fuentes providing care. Licensee was operating within the licensed capacity as specified on the license.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen CorralTELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 06-CC-20210625160941
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: OJEDA, ANTONIA
FACILITY NUMBER: 304311924
VISIT DATE: 08/31/2021
NARRATIVE
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Page 2.
The complaint received on 06/25/2021 alleged that a child was physically abused while in care and that a child’s personal rights were violated. LPA Odom began the Complaint Investigation and interviewed S1, S2, C1, and C2 during initial 10 day inspection. During LPA Odom’s interview with Licensee, Licensee was questioned about the above allegations.

The Reporting Party (RP) made allegations regarding a child’s bottom being hurt and having marking. RP also alleged that a child did not have their diapers changed frequently and that the child did not receive drinking water. During the interview with LPA Odom, she questioned Licensee about her discipline methods. Licensee informed LPA Odom that she speaks to the children then she gives them “thinking time” if they misbehave. Licensee informed LPA Odom that she checks children’s diapers and changes them every 1-2 hours. Licensee also stated the parents provide diapers but when parents do not provide diapers for their children, then Licensee provides diapers that she purchases.

LPA Odom also interviewed S2, when S2 was asked about their discipline methods, she stated she informs the Licensee and the Licensee speaks to the children. S2 stated she attempts to calm the children down and asks the children what is wrong. S2 stated children receive water to drink. S2 also informed LPA Odom that they check diapers throughout the day and about 3-4 times the children have their diapers changed. S2 stated the parents provide diapers and wipes, but Licensee also has reserved diapers for the children. Two children (C1 and C2) were also interviewed by LPA Odom, C2 was not very response. C1 stated child likes going to school and drinks water. C1 also stated when friends don’t listen they get time out.

LPA Corral spoke to RP on 08/26/2021 RP believed child did not receive drinking water which was the reason of low urination and low diaper changing. RP stated C3 did not obtain a diaper rash while in care and the diaper changing concern was due to Licensee not asking RP for diapers. RP also expressed concerns regarding C3 being physically abused in care.

LPA Corral also interviewed Licensee on 08/31/2021, Licensee stated she would never inappropriately place her hands on any of her children in care. Licensee also informed LPA Corral that she does provide children with drinking water after meals, after outside play and as requested. Licensee also stated she checks for diapers every 30 minutes and changes children diapers as needed. Licensee stated she is familiar with the children's time frame of using the restroom. and that diapers are checked before nap and after waking up.
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SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen CorralTELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20210625160941
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: OJEDA, ANTONIA
FACILITY NUMBER: 304311924
VISIT DATE: 08/31/2021
NARRATIVE
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Page 3.
Licensee stated she uses diapers provided by the parents but also uses her own diapers when parents don't provide any. When Licensee was questioned about her discipline methods she stated when children misbehave she talks to them and gives them thinking time. Licensee stated she talks to the children and explains why they are on thinking time. Licensee stated she goes over with the children about respecting their friends, sharing toys, and reminds the children to keep their hands to themselves. Licensee stated she spoke to RP regarding the mark on child's bottom, Licensee stated she asked RP to see Child's bottom but Licensee was unable to see any marking on the child.

LPA Corral interviewed S3, during the interview S3 stated they change diapers frequently about 3-4 times a day. S3 stated diapers are checked when they arrive, before nap, before pick up and as needed. S3 stated children are offered drinking water after meals, after outside play and after naps. When S3 was questioned about the Facility’s discipline method, she stated the Licensee talks to the children and explains things to them regarding good behavior.

Based on the interviews that LPA Odom and LPA Corral conducted with S1, S2, S3, C1 and C2 there is insufficient evidence to corroborate that a child was physically abused in care and that a child’s personal rights were violated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview was conducted with Licensee in Spanish. Appeal Rights were explained. The Licensee was provided a copy of Appeal Rights and signature on this form acknowledges receipt of these rights. Licensee was informed all appeals must be in writing and received by the Regional Office within 15 business days. First level appeals should be sent to the Regional Manager to the address listed above. The Notice of Site Visit was posted and discussed as required by H&S Code Sec. 1596.817. Licensee was informed Notice of Site Visit must be posted for 30 consecutive days and failure to post will result in civil penalties of $100.00.

End of Report.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Eileen CorralTELEPHONE: (714) 743-8354
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3